Consumer Access Spec PRN

adventhealth; Colorado; On-site; USD 28,000 - 44,000; Part time

Job summary

AdventHealth in Littleton, Colorado is seeking a PRN Revenue Cycle/Customer Service Associate to perform Medicare compliance reviews, estimate patient financial responsibility, collect payments or set up payment plans, verify insurance benefits, obtain pre-authorizations, and register patients for services.

The role requires strong customer service, bilingual English/Spanish abilities, familiarity with EMR systems, and knowledge of HIPAA and insurance terminology.

Qualifications

• Associate degree preferred; high school diploma required.
• 1+ year of customer service experience in healthcare or related field.
• Basic familiarity with insurance terminology and benefits.

Responsibilities

• Perform Medicare compliance reviews and issue ABNs as needed.
• Create accurate estimates of patient financial responsibility and collect or arrange payments.
• Coordinate with utilization management for pre-authorization and provide patients with needed information.
• Contact insurance companies to verify eligibility/benefits and obtain pre-authorizations within timeframes.
• Register patients for services ensuring accuracy and avoiding duplicate records.

Skills

Mature judgement

Customer service

Insurance knowledge

HIPAA knowledge

EMR systems

Microsoft Office

Bilingual English/Spanish

Professional communication

Adaptability in healthcare

Attention to detail

Education

Associate degree

High school diploma or equivalent

Tools

EMR systems

Microsoft Office

Database programs

Job description

Our promise to you

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule

PRN

Shift

Day (United States of America)

Address

7700 S BROADWAY

City

LITTLETON

State

Colorado

Postal Code

80122

Job Description

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.


• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.


• Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.


• Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.


• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.

Knowledge, Skills, and Abilities

• Mature judgement in dealing with patients, physicians, and insurance representatives


• Working knowledge of Microsoft programs and familiarity with database programs


• Ability to operate general office machines such as computer, fax machine, printer, and scanner


• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion


• Ability to communicate professionally and effectively, both verbally and written


• Ability to adapt in ever-changing healthcare environment


• Ability to follow complex instructions and procedures, with a close attention to detail


• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies


• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform duties


• Knowledge of computer programs and electronic health record programs


• Basic knowledge of medical terminology


• Exposure to insurance benefits; ability to decipher insurance benefit information


• Bilingual – English/Spanish


• Experience in Customer Service related field


• Exceptional customer service skills


• Advanced understanding of insurance knowledge and benefits


• Advanced understanding of hospital electronic medical report (EMR) system


• Intermediate medical terminology

Education

• Associate [Preferred]


• High School Grad or Equiv [Required]

Field of Study

• N/A

Work Experience

• 1+ customer service [Preferred]


• 1+ relevant healthcare [Preferred]


• 1+ revenue cycle [Preferred]

Additional Information

• N/A

Licenses and Certifications

• Certified Healthcare Access Associate (CHAA) [Preferred]


• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$19.97 - $31.95

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.